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Accreditation for Inspection of Adult Social
Care Providers
An Introduction JLAC Technical Information Seminar 2015
Introduction to UKAS
• UKAS established in 1995 as a non-profit distributing
private company limited by guarantee
• Originated in 1966; 49 years of accreditation experience
• The UK’s national accreditation body; European Union
Regulation gives a legal framework and requirement for
accreditation throughout Europe
• The performance of UKAS is monitored by the UK
Government and peer-assessed internationally
“Procedure by which an authoritative body gives
formal recognition that an organisation is competent to
carry out specific tasks”
• Independent & impartial assessment by competent
authoritative third party – an accreditation body
• Demonstration of technical competence, integrity &
impartiality
• Gives confidence to all users and reduces risk
What is accreditation?
UKAS and Healthcare accreditation
• The first accreditation scheme for medical (pathology)
laboratories in the UK, was launched in 1992 by
Clinical Pathology Accreditation (“CPA”).
• CPA was established by the medical and clinical
professionals in the UK who developed the CPA
standard.
• The CPA standard provided much of the basis for ISO
15189.
• CPA merged with UKAS in 2009.
UKAS accreditation for Diagnostics
and Scientific Services
• Medical Laboratories ISO 15189
• Point of care testing ISO 15189 and 22870
• EQA Providers ISO 17043
• Physiological diagnostics
• Imaging Services Accreditation Scheme
• Medical Devices ISO 13485
• Hospital QM schemes (ISO 9000)
• Public Health laboratories(ISO15189 & 17025)
• Medical Physics and engineering (ISO 15189)
( under development)
Accreditation underpinning healthcare
services
UKAS
Accreditation ISO/IEC 17011
Organisations that conduct Evaluations or ‘Conformity
Assessment’
Certification or Inspection (ISO/IEC 17065 or 17020)
Testing/Diagnostic and measurement services
(ISO 15189, 17025 or equivalent e.g. ISAS/IQIPS)
Service that includes taking
and testing of samples
e.g. Blood/biopsies
Service that includes the
identification of a disease
or characteristic Process or service
e.g. Healthcare
review, dental service Defined Clinical Service
standard
The Patient
Accreditation for Inspection of Adult Social
Care Providers
An Introduction UKAS Pilot Programme
The Kings Fund, an independent think tank which is
involved in health and social care in England says
“Whole-system changes are needed to deliver the
right care at the right time, and in the right place, to
meet older people’s care preferences and goals. The
nine main components of care covered by the report
are as follows”
Healthy, active ageing and supporting independence
Living well with simple or stable long-term conditions
Living well with complex co-morbidities, dementia and
frailty
Rapid support close to home in times of crisis
Good acute hospital care when needed
Good discharge planning and post-discharge support
Good rehabilitation and re-ablement after acute
illness or injury
High-quality nursing and residential care for those
who need it
Choice, control and support towards the end of life
UKAS eligibility criteria for developing new
areas of accreditation
be conformity assessment
meet international requirements or equivalent national
requirements
deliver national, economic or social benefits
have a credible driver and the activity itself is credible
support of relevant stakeholders
The Regulation and Quality
Improvement Authority (RQIA)
Care and Social
Services
Inspectorate Wales
Care
Inspectorate
Scotland
Regulatory Inspectorates
The Health and Social
Care Act 2008 (Regulated
Activities)
Regulations 2014
Why do we need private inspection bodies ?
To assist care providers to improve the quality of service
or ‘drive up’ standards
To prepare for regulatory compliance
To recognise achievements (e.g. awarding star ratings)
To support regulators
The service also benefitted from an
external quality assurance system known
as RDB (Residential and Domiciliary
Benchmarking). This meant that all
aspects of the service were subject to an
annual assessment carried
out by an external organisation. On the
home’s most recent assessment they
were awarded a five star rating, which
was
the highest possible score.
Where do we fit in?
UKAS Accreditation
Government
recognition
ISO/ IEC 17020:2012
Peer evaluation to international standards
Private Inspection
Organisation
Inspection Standards/
Schemes
Adult Social Care Provider
CONFIDENCE TRUST ASSURANCE
GOVERNMENT/ REGULATORS RESIDENTS RELATIVES / COMMISSIONERS
How did we establish the
pilot programme?
Consultation meeting with relevant stakeholders
Invitation for expressions of interest
Establish project terms of reference
Establish pilot terms and conditions
Establish project team
Invite applications
Key steps in the pilot programme
Pilot initiation meeting with applicants
Pilot assessments
Accreditation
Surveillance
Lessons learnt review
Aim of the
pilot programme
Develop a credible assessment regime and accreditation
service for private inspection bodies providing adult
social care
Key objectives of the
pilot programme
To evaluate the suitability of inspection schemes /
standards used by private inspection bodies to inspect
adult social care providers and their implementation
To assess applicants in a consistent manner using
trained and competent assessment teams
To define scopes of accreditation considering the needs
of inspection bodies, stakeholders and the public
To accredit inspection bodies meeting the requirements
of accreditation
Deliverables of the
pilot programme
Documented competence criteria for the UKAS
assessors
A team of trained assessors, accreditation decision-
makers
At least three accredited inspection bodies
A document describing the assessment approach /
criteria based on results of pilot assessments
Performance measures of the
pilot programme
Internal
Project milestones, deliverables and budget achieved
Project objectives achieved and accreditations granted
External
Recognition of accredited inspection outcomes by UK
regulators
Key challenges
Applying ISO/IEC 17020 requirements to a service
based on person centred care
Robustness and consistency of (in-house) inspection
schemes offered by inspection bodies
Effectiveness and consistency of inspections performed
and reporting of results
Witnessing inspections (by UKAS) in a sensitive
environment
Defining scopes of accreditation
Engaging regulators
F Type & Range Methods &
Adult Social Care
Providers
Residential Care
Homes
Domiciliary Care
Mental Health
Dementia
Nursing
Learning Difficulties
Inspection Standard
xxxxxxxx
Possible Scopes of Accreditation
Field of Inspection Type & Range Methods & Procedures
Achievements so far …….
One applicant already accredited for a limited scope
Assessments of two other applicants in progress
Regulators are considering how accredited inspection
results can be used to demonstrate high quality care
British Standards Institution has initiated a process for
developing a national standard
UKAS is building a pool of assessors / experts for
assessing inspection of care providers
UKAS is receiving enquires from other private inspection
bodies who wish to be accredited
Work in progress……
Complete pilot assessments and accreditations
Perform lessons learnt review
Review with regulators
Develop UKAS guidance
Continue extending scope (including geographical
scope) of accredited inspections
Related inspection
pilot programmes
Review of healthcare services
Review of services for caring for the dying
Conclusions
In the UK there is a growing awareness of the positive
role that accredited certification and inspection bodies
can play in helping raise quality standards in care homes
and other providers of health & social care
These are early days for UKAS in this area and we have
much to learn. Progress so far is positive and it is hoped
that the application of accreditation in these areas will
deliver positive benefits for the users of these services
Sharing experience and learning from each other will
provide opportunities to finding solutions that fit the
communities that we live in
UKAS Accreditation for Inspection of Adult Social
Care Providers
An Introduction JLAC Technical Information Seminar 2015
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